Individual
KALYN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
45 CROWN CT, STUYVESANT, NY 12173-1606
(518) 506-0890
Mailing address
PO BOX 105, STUYVESANT FALLS, NY 12174-0105
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
04/30/2024
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